Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | G143674 | CA |
N | 2080A0000X | Adolescent Medicine | G143674 | CA |
N | 2080P0205X | Pediatric Endocrinologist | G143674 | CA |
NPI | 1083671580 |
---|---|
Provider Name | Dr. Sarah Rice Sandlin Stender |
First Address | Fresno, CA 93721-1431 |
Second Address | Fresno, CA 93720-8022 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 08/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1144011 | (05) | LA |
3870167 | (05) | TN |
F84947 | (02) | |
MD.203426 | STATE LICENSE (01) | LA |